HomeMy WebLinkAboutP2018-0303 - PermitsCityofCenteric Drive,
ofNewport Beachorta- Building, CA 92660 Division Illlullllllllllllllllllllllllllll�lllllllllllllllllll III PLUMBING Permit
100 Permit Counter Phone (949)644-3288 ' Project No
Job Address: 27 CASTELLINA DR Bldg:
1 Floor: Suite:
Description of Work: PLUMIWATER HEATER C/O
Inspector Area: 6 Code Edit 2016
Legal Description: N TR 15401 LOT 36
Owner: MORT BRYA
Contractor:
RESCUE ROOTER
Address: 27 STELLINA R
Address:
740 N HARITON ST
WPORT COAS , CA 92657
ORANGE CA 92868
Phone: 14-356-6540
Phone:
714-771-8471
Con State Lic:765155
Issued Da e:09/04/2018
Lie Expire:
07/31/2020
Z2
Bus Lie:
BT30046061
Processed B .
Lie Exp Date:
02/28/2019
P2018-0303
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier: LIBERTY MUTUAL
PolicyNowA763D508631 PCe
Expire: 10/01/2018
°mmmm
4
mmmm
m
0000
TOTAL: $48.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $48.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
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mmm°c c.
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e
FEES
Bathroom Fixtures
Kitchen Fixtures
Misc.
Misc.
Other
Toilet:
0
$0.00
Kitchen Sink:
0
$0.00
Water Piping:
0
$0.00
Roof Drain: 0
$0.00
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
$lt.L10o
Urinal
0
$0.00
Bar Sink:
0
$0.00
Water Heater:
1
$15.00
Greaselnterceptor:0
$0.00
Bath Tub:
0
$0.00
Vegetable Sink:
0
$0.00
Gas up to 4 outlets:
0
$0.00
P -Trap: 0
$0.00
Record Mgmt Fee:
$0.00
Shower Stall:
0
$0.00
Ice Maker:
0
$0.00
Gas over 4 outlets:
0
$0.00
Sewer
Investigation:
$0.00
Wash Basin:
0
$0.00
Dishwasher:
0
$0.00
Backflow up to 2":
0
$0.00
Sewer: 0
$0.00
Plan Check:
$0.00
Hydro -Mass Tub:0
$0.00
Lndry/Trap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
$33.00
Floor Sink:
0
$0.00
Regulator:
0
$0.00
Hose Bibb:
0
$0.00
Sewer Abandon: 0
$0.00
Supplemental Fee:
$0.00
Floor Drain:
0
$0.00
Lawn Sprinkler:
0
$0.00
Drinking Fountain:
0
$0.00
Additional Fee:
$0.00
TOTAL: $48.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $48.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
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OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit. I cannot legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
.... LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions rode and my license is in full force
andeffect. I/ A /r L/�
*M694Class. " License No Dat 'I o Contractor Signature%
V%ORKERS' c6WENSATION DECLARATION
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSAA011A DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
P�►hhrrrerebyafFrm under penalty of perjuryone of the following declarations:
,have and'w'if1 maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
[-e nce of th6 Mt -K for which this permit is issued. Policy No.
heave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
'ran carri®r eD44licy number are:
c . ' Policy Number Expiration Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, if I should become subject tooReworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr vl ns.
Iature of ApplicanNo IN, 0 r i� a
veby affirm -l" --- penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Jder's Name
Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cout r the ov -identified
property for inspection purposes. T v�
(
nature of PropertOwner or Authorized Agent
Print Property Owner's or Authorized Agent's Name / ° "� " K. Date
ACTION DATE BY
OECLARATION OF COMPLIANCE MTN CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF 717LE40AND
AQMDRULE1403.
PERMITEXPIR€D
❑ I SUBMITTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCEUED
PERMIT EXTENDED
❑ ASBESTOS NORF7CA77ONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMITFINAL -
CERTIFICATE OF
OCCUPANCYISSUEO